Provider Demographics
NPI:1699064303
Name:DIXON, ROBIN ELIZABETH (RN)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:ELIZABETH
Last Name:DIXON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ROBIN
Other - Middle Name:ELIZABETH
Other - Last Name:DIXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8746 GRAGG RD
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053-4945
Mailing Address - Country:US
Mailing Address - Phone:901-829-2510
Mailing Address - Fax:
Practice Address - Street 1:8746 GRAGG RD
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053-4945
Practice Address - Country:US
Practice Address - Phone:901-829-2510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN108193163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine